TREASURER’S REPORT (Page 1 of 2)

To the Worshipful Master, Officers and Members of ______Lodge #______

My report as Treasurer, for the year ended ______, 20 ____, is as follows:

INCOME

Item 1.Receipts from Dues______

Item 2.Receipts from Assessments______

Item 3.Receipts from Rent______

Item 4.Receipts from Suppers, Lunches, Refreshments, etc.______

Item 5.Fees received from Degrees______

Item 6.Income from Invested Funds (Interest on CD’s, Savings, Checking, etc.)______

Do NOT include Charity Fund

Item 7.Funds received from Grand Lodge______

Item 8.Contributions received from members______

Item 9.Transfers from Charity Fund______

Item 10.Funds received for Scholarships______

Item 11.Funds received from Estates and Trusts______

Item 12.Receipts from Loans______

Item 13.Sales to Members______

Item 14.Funds received for Relief______

Item 15.Sale of Stock______

Item 16.Reimbursements from Affiliated Bodies______

Item 17.Memorials______

Item 18.______

Item 19.______

Item 20.______

Item 21.______

Item 22.______

Item 23.______

Item 24.TOTAL INCOME (Sum of items 1 through 23)______

EXPENDITURES

Item 25.Grand Lodge Per Capita Tax______

Item 26.Dues Refund______

Item 27.Rent Paid______

Item 28.Salaries______

Item 29.Suppers______

Item 30.Utilities (heat + elec. + water, etc.)______

Item 31.Telephone______

Item 32.Interest & Loan Repayments (including mortgage)______

Item 33.Printing and Supplies______

Item 34.Office Supplies & Bank Service Charges______

Item 35.Transfers to Charity Fund______

Item 36.Charities and Flowers (paid out of General Fund)______

Item 37.Christmas Dinners______

Item 38.DeMolay / Rainbow______

Item 39.Postage & Bulk Mailings______

Item 40.Grand Lodge Scholarship______

Item 41.Grand Lodge Drug & Alcohol Abuse______

Item 42.Relief Payments from General Funds (NOT Charity Fund payments)______

Item 43.______

Item 44.______

Item 45.TOTAL EXPENDITURES (Sum of items 25 through 44)______

Item 46.NET INCOME (Item 24 minus Item 45) NET LOSS (Item 45 minus Item 24) ______

Item 47.Cash Balance at Beginning of Year______

Item 48.Cash Balance at End of Year(Sum of Items 46 and 47)______

(NOTE / PROOF: Item 24 plus Item 47 should equal Item 45 plus Item 48)

Return One Copy to Grand Lodge / Retain One Copy for Lodge Records

TREASURER’S REPORT (Page 2 of 2)

______Lodge # _____, Annual Mtg. held ______, 20____

CHARITY FUND

Item 1.Grand Total of Charity Fund at Beginning of Year (including investments) ______

Item 2.Cash available at beginning of year for Charitable purposes______

Item 3.Income available for Investments, CD’s, Savings______

Item 4.Income from Donations______

Item 5.Other Income (indicate source ______)______

Item 6.TOTAL AVAILABLE FOR DISTRIBUTION (Sum of Items 2 through 5)______

EXPENSES

Item 7.Burial of the Dead______

Item 8.Relief______

Item 9.Other ______

Item 10.TOTAL DISTRIBUTIONS (Sum of Items 7 through 9)______

Item 11.Cash available for distribution at end of year______

Item 12.GRAND TOTAL OF CHARITYFUND / End of year (Item1 PLUS Item 11)______

BALANCE SHEET

ASSETS

Current Assets

Item 1.Cash (Funds deposited in bank(s) / including Savings and CD’s)______

Item 2.Investments (Stocks and Bonds)______

Item 3.Dues owed to the Lodge for two or more years______

Item 4.Dues owed to the Lodge for one year______

Item 5.Funds invested in Masonic Building Corporation______

Item 6.Other (______)______

Item 7.Total Current Assets (Sum of items 1 through 6)______

Furniture & Equipment

Item 8.Regalia______

Item 9.Furniture______

Item 10.Library______

Item 11.Other (______)______

Item 12.Total Furniture & Equipment (Sum of items 8 through 11)______

TOTAL ASSETS (Item 7 PLUS item 12)______

LIABILITIES AND CAPITAL

Item 13.Notes or Debt Payable – (incurred with the acquisition of property)______

Item 14.Accounts Payable (Unpaid Bills)______

Item 15.Surplus (Deficit)______

TOTAL LIABILITIES AND CAPITAL (Sum of items 13 through 15)______

*Amount of fire insurance coverage on Lodge regalia, furniture and other property______

*Amount of Bond furnished by Treasurer______

*Amount of Bond furnished by Secretary______

*Amount of Bond furnished by Trustees______

SUPPLEMENTAL INFORMATION

The Internal Revenue Service periodically requests us, as the parent organization, to verify each Lodge’s Employer Identification Number or Numbers (EIN). (Some Lodges have two numbers.)

In order to comply with their request, PLEASE indicate the Number(s) below as well as the Lodge name, Lodge # and District #.

Employer Identification Number______

Lodge ______# ______District # ______

Submitted by ______, Treas. Telephone ______

Return One Copy to Grand Lodge / Retain One Copy for Lodge Records